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Ped Heads S125.01
SIGN COPY � S _ SIGN ADDRESS L4 5,w n JXA va �aSIGN PERMIT APPLICATION DAT CFPERMIT NUMBER: 'PilNAM BUSI ' l 7" S�5—ZZl PHONEb ( -756 ` © - 9- j k 63 2 ADD i , :. Cc it _ CITY: (� STATE: _ZIP: y �i PROPERTY OWNER Como 11 AD #a11116i PHONE: (3 [?� Ogg -ckLj- ADDRESS: U Ct CITY: i f STATE: ZIP ko ZONING DISTRICT: 0 'M OVERLAY ZONE: 31 421 431 OLD TOWN: YESX_NO REQUIRED APPROVALS: Plan Commission Docket # BZA Docket # DOCS Only IS AN IMPROVEMENT LOCATION PERMIT REQUIRED FOR THIS BUILDING/TENANT SPACE? Aj(` IF YES, STATE PERMIT NUMBER ISSUED SIGN TYPE -circle one: WALL GROUND ROOF PROJECTING SUSPENDED PORCH WINDOW OTHER NO. OF SIDES SIGN STATUS -circle appropriate response(s): NEW EXISTING 1RMANE �_ TEMPORARY OVERALL SIGN HEIGHT FROM GROUND: ` FT. OVERALL SIGN DIMENSIONS:_FT. x FT. TOTAL SIGN AREA: Requested Zq SQ.FT. Permissible 300 SQ.FT. COLORS: �k 10 S, 's-e✓ 8 1V� Ye Ilow BUILDING OR TENANT SPACE FRONTAGE DIMENSION: 2- FT. BUILDING TYPE: �py�� W env i l Il SETBACK OF SIGN FROM NEAREST RIGHT-OF-WAY: FT. LOGO DIMENSIONS: S) 11 Y -/ 3 if , LOGO IS t ' PERCENT OF SIGN AREA ARE THERE ANY EXISTING SIGNS ON THIS SITE? IF YES, EXPLAIN IV 0 SHOPPING CENTER OR COMPLEX NAME: V I CERTIFY THAT A PICTURE OF THIS SIGN WILL BE SUBMITTED TO THE DEPARTMENT OF COMMUNITY SERVICES WITHIN ONE (1) WEEK AFTER ERECTION OF THE SIGN. -OR- I WOULD PREFER A $90.00 INSPECTION FEE BE ADDED TO THE COST OF THIS PERMIT TO COVER THE COST OF THE STAFF OF THE DEPARTMENT OF COMMUNITY SERVICES TAKING THIS PICTURE. TWO COPIES OF THE FOLLOWING DOCUMENTATION ARE REQUIRED FOR THE REVIEW OF THIS SIGN PERMIT: COMPLETED APPLICATION SITE PLAN (depicting all dimensions, setbacks and proposed sign location) SIGN ELEVATIONS (depicting all dimensions, copy and color) * BUILDING OR TENANT SPACE ELEVATION (depicting frontage dimensions and proposed sign location) * LANDSCAPE PLAN: Required for ground signs (depicting the planting, mature heights and caliper) * See Samples Attached SIGN PERMIT FEES: -PERMIT APPLICATION .................... $35.00 -SIGN ERECTION ............................. $28.00 PER SIGN FACE PLUS $1.50 PER SQUARE FOOT OVER 32 SQUARE FEET. -REPLACEMENT OF SIGN FACE IN AN EXISTING CABINET--$28.00 PLUS $1.50 PER SQUARE FOOT OVER 32 SQUARE FEET (Continued On Page 2) Page 2 of 2 Carmel/Clay Sign Permit Application THE UNDERSIGNED CERTIFIES THAT THE FOREGOING SIGNATURES, STATEMENTS AND ANSWERS HEREIN CONTAINED AND THE INFORMATION HEREWITH SUBMITTED ARE IN ALL RESPECTS TRUE AND CORRECT, AND THIS SIGN WILL BE ERECTED AND MAINTAINED IN ACCORDANCE WITH ALL APPLICABLE LAWS OF THE STATE OF INDIANA, AND THE ZONING ORDINANCE OF CARMEL/CLAY TOWNSHIP, INDIANA AND ALL ACTS AMENDATORY THERETO, AND SHALL BE ERECTED WITHIN SIX (6) MONTHS OF THE DATE OF ISSUANCE OR THIS PERMIT IS NULL AND VOID. FURTHER, THE UNDERSIGNED CERTIFIED BY SIGNING THIS APPLICATION THAT ALL REPRESENTATIVES OF THE DEPARTMENT OF COMMUNITY SERVICES ARE ADVISORY. PROPERTY OWNER'S SIGNATURE 0-6120L-IN-f� 4AN NA PROPERTY OWNER'S NAME (PLEASE PRINT) BUSINESS OWNER'S SIGNATURE OWNER'S NAME (PLEASE PRINT) SIGN COMPANY: 4 4�i '1 CONTACT PERSON 6ray ICO PHONE: T 3— �V 33 ADDRESS: " DO LIJ CI rA CITY: ,�►n,d o S 5 STATE: L� ZIP: ysa Zlog THE FOLLOWING ITEMS ARE CONCERNS BY STAFF OR PRIOR COMMITMENTS THAT MUST BE ADHERED TO AS A CONDITION OF THE ISSUANCE OF THIS PERMIT (PLEASE INITIAL EACH ITEM INDIVIDUALLY): 1) x SIGN PERMIT APPLICATION SIGN ERECTION - Improvement Permit $ r d W; r w INSPECTION FEE (Required if photography not provided) $90.00 OR ttato will be rovide TOTAL FEE ` $ ' © 0 PERMIT ISSUED BY: V. FEE RECEIVED BY: ` RELEASED STAMP: RELEASED FOR CONS 'F UCTiO Subject to comp l nce Wise all R-20-uialtl ns of State and L�incal Codes DEPT OF Qsl4F4��Fy�r����S,.J � un'�rot,"•V.rf� ��1 s:\sign\appl CITY OF CAR�P'4 p_.. ' CLA TO NSHIP revised 11/00 INDIANA PAID STAMP: 7 777.1J SEP ` 6 2001 R E L rf..A IS so r- S T r? L I C T 10 N 8ukiec' to : of DEPT OF NITTY SERVICES CITY OF CARMEN 1 CLAY TOWNStilp INDIANA 3 cirk (To u. S, 3 /} Main St (131st .-r,- ) f(eys-ro4e,4 W) TA e P Foolery iz c peg fkGds Free ark;nq duri n y Mdx haw kr'h 9 hours N S are ST E [i4DjANA ����c d plane o-i' L• 35 o •n e FRCi St .Shi n yIe facade slop;4y forward to form a, t�vc foot 1c_dIa Over 6axylxy-tkc s-Idewa.I K- .stone fael xy /4 Wixd,w 0 S~f'a r e fa.Ci„ q 1- — ..--.------- - -- ---- � 4 feet 'pM H�Ctjs Cq r L-�-N C3 � -7)!�;e5o - 9 � r7 ) RELEASED FOR CONSTRUCTION Subject to compliance, with all ftguiations 4 of sa "i� s??fig s-..oial Codes INDIANA 0TY OF CARRIEL ,'CLAY i i f� I i i o lot.— C i 4J `